Healthcare Provider Details

I. General information

NPI: 1356420251
Provider Name (Legal Business Name): MARY ANN BELOTE MS, NBCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 01/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 FLORAL PARK RD
CLINTON MD
20735-9665
US

IV. Provider business mailing address

407 ASPEN CT
LA PLATA MD
20646-9509
US

V. Phone/Fax

Practice location:
  • Phone: 301-645-9200
  • Fax:
Mailing address:
  • Phone: 240-776-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2920
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: